BOTOX® Cosmetic & Dermal Fillers
Rucker MD Plastic Surgery Clinic
The first signs of aging often appear as tiny wrinkles around the eyes, forehead, cheeks and lips. While normal, their presence can be distressing. When addressing questions about wrinkles, I separate them into two categories: wrinkles caused by aging and those by gravity.
Dynamic wrinkles are associated with our facial expressions. As we contract our muscles to smile, laugh, and squint, mild wrinkles appear. When we are young they are hardly visible, but wrinkles become deeper and more noticeable as we grow older. The most common areas for dynamic wrinkles are around the lips, corners of the eyelids (crow's feet), between the eyebrows, and on the forehead. The presence of these wrinkles often makes people look tired and older than they actually are.
The other type of facial wrinkle is caused by the sagging and folding of the skin due to gravity and loss of skin elasticity. These folds are commonly found from the side of the nose to the corner of the mouth, beneath the eye, and from the corner of the mouth to the chin.
With an understanding of the two types of facial wrinkles, we can talk about types of treatment. BOTOX® Cosmetic and dermal fillers have gained visibility, but often patients do not understand that they are two completely different treatments.
BOTOX® Cosmetic is used to treat dynamic facial wrinkling. It is a toxin extracted from the bacterium Clostridium botulinum, and is a safe and effective way to reduce facial wrinkling without surgery. Fine needle injections target the facial muscles that contract to cause dynamic wrinkles.
These muscles stop contracting when treated, significantly reducing the wrinkles of skin above the muscle. The effect may last 3-6 months, at which time the muscle regains movement and wrinkles will reappear. BOTOX® Cosmetic administration is done at Rucker MD Plastic Surgery Clinic and is a 5-minute procedure. The affect of BOTOX® Cosmetic begins to occur within 3 days after the treatment. By the end of the first week you will probably notice a reduction of fine lines and wrinkles around the targeted areas. Some patients may have some immediate bruising from the injection. Most patients return to normal social activity within 4-24 hours. Botox injections may be repeated after the effects wear off.
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Dermal Fillers were developed to help smooth out the wrinkles which occur during aging. Dermal fillers are commonly used to raise a depressed scar, enhance lips, and replace soft tissue loss. Results are accomplished by injection of the filler beneath the scar or introducing the appropriate volume to smooth the wrinkle.
There are several classes of dermal fillers available in the United States. Collagen fillers have fallen from favor because of the high risk of allergic reaction. The popular Restylane® requires no skin test for allergic sensitivity and lasts a bit longer than collagen. It is derived from a compound which acts to hold moisture and when injected, acts to plump the skin up. A new class of fillers is composed of synthetic calcium derivatives and is available under the brand name of Radiesse®. This class is promising that the results can last up to 2-3 years.
Consider the impact that gravity and aging may be having upon your appearance and then schedule an appointment to discuss the possibilities of BOTOX® Cosmetic and dermal fillers to minimize your wrinkles.
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